Prima Ardian, Rr. Tutik Sri Hariyati


Background: Nurses as health professionals are required to always keep and increase professionalism in order to provide quality nursing care. The purpose of this study to enhance the ability to evaluate the results of the reformer agencies in implementing the Discussion Case Reflection (DCR) in an effort to improve professionalism. Methods: The design was a pilot study involving the change agent is Head of Nursing and Coordinator of the Executive Unit. Sample selection is done by using purposive sampling. The sample was 26 nurses from nursing management 2, 4 head nurse and 20 nurses. Implementation of the renewal agency used an approach Plan, Do, Check, Act (PDCA). Results: The study carried out is guideline and standard operating procedures (SOP) about the DCR. Discussion Case Reflection guideline discusses the definition, purpose, benefits, roles and tasks as well as the implementation. Guideline and SPO are used as a reference implementation DCR in the room. Discussion Case Reflection helpful nurse in improving science, obtaining up to date research, solutions resolve service issues, raise awareness of quality practices and thinking critically. While the obstacles in the implementation of the limitations associated literature sources, execution time, the media and there are participants who are less active. Recommendations on the implementation of the DCR among others by conducting socialization to all the nurses, the need for library facilities in hospital and media DCR when the conduct of the DCR, flexibility of implementation time, making DCR one component Performance Indicators Individual, and implement DCR across inpatient and outpatient.


Discussion Case Reflection (DCR), Nurse, professionalism

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Bertero, C. (2010). Reflection in and on nursing practices-how nurses reflect and develop knowledge and skills during their nursing practice. International Journal of Caring Sciences, 3(3), 85–90.

Caldwell, L., & Grobbel, C. (2013). The Importance of Reflective Practice in Nursing. International Journal of Caring Sciences, 6(3), 319–326. Retrieved from http://internationaljournalofcaringsciences. org/ docs/4. us La.Caldwell.pdf.

Cleary, M., Horsfall, J., O’Hara-Aarons, M., Jackson, D., & Hunt, G. E. (2011a). The views of mental health nurses on continuing professional development. Journal of Clinical Nursing, 20(23–24), 3561–3566.

Cleary, M., Horsfall, J., O’Hara-Aarons, M., Jackson, D., & Hunt, G. E. (2011b). The views of mental health nurses on continuing professional development. Journal of Clinical Nursing, 20(23–24), 3561. Retrieved from 905715848? accountid=17242.

Covell, C. L. (2009). Outcomes Achieved From Organizational Investment in Nursing Continuing Professional Development. Journal of Nursing Administration, 39(10), 438–443.

Dalheim, A., Harthug, S., Nilsen, R. M., & Nortvedt, M. W. (2012). Factors influencing the development of evidence-based practice among nurses: a self-report survey. BMC Health Services Research, 12(1), 367.

Dolea, C., Stormont, L., & Braichet, J. M. (2010). Evaluated strategies to increase attraction and retention of health workers in remote and rural areas. Bull World Health Organ, 88(5), 379. 10.2471/BLT.09.070607.

Downs, S., Downs, S., Hospital, C., Service, H., Sunshine, T., & Private, C. (2013). Continuing professional development in nursing in Australia: Current awareness, practice and future directions, 45(1), 33–45.

Gibbs, G. (1988). Learning by doing: A guide to teaching and learning methods. Oxford: Oxford Further Education Unit.

Gould, D., Drey, N., & Berridge, E.-J. (2007). Nurses’ experiences of continuing professional development. Nurse Education Today, 27(6), 602–609. j.nedt.2006.08.021.

Hallin, K., & Danielson, E. (2008). Registered Nurses’ perceptions of their work and professional development. Journal of Advanced Nursing, 61(1), 62–70.

Keputusan Menteri Kesehatan nomor 836 tahun 2005 tentang Pedoman Pengembangan Manajemen Kinerja Perawat dan Bidan.

Laaksonen, C., Paltta, H., von Schantz, M., Ylönen, M., & Soini, T. (2013). Journal club as a method for nurses and nursing students’ collaborative learning: A descriptive study. Health Science Journal, 7(3), 285–292.

Lachance, C. (2014). Nursing Journal Clubs: A Literature Review on the Effective Teaching Strategy for Continuing Education and Evidence-Based Practice. Journal of Continuing Education in Nursing, 45(12), 559–565.

Padma, P., Rajendran, C., & Sai, L. P. (2009). A conceptual framework of service quality in healthcare. Benchmarking: An International Journal, 16(2), 157–191.

Popil, I. (2010). Promotion of critical thinking by using case studies as teaching method. Nurse Education Today, 31(2), 204–207.

Ravin, C. R. (2012). Implementation of a journal club on adult learning and nursing professional development. Journal of Continuing Education in Nursing, 43(10), 451–5.

Mashiach Eizenberg, M. (2011). Implementation of evidence-based nursing practice: nurses’ personal and professional factors? Journal of Advanced Nursing, 67(1), 33–42.

Nursing and Midwifery Board of Australia. Continuing professional development (2016). Melbourne, Australia. Retrieved from

PPNI. (2016). Pedoman pendidikan keperawatan berkelanjutan (PKB) perawat indonesia (Ed 2). Jakarta: DPP PPNI.



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